Organization Name: | PLANNED PARENTHOOD OF THE HEARTLAND |
NPI Number: | 1225317183 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PENNY DICKEY (COO) |
Mailing Address: | 2201 Ave H Planned Parenthood Of The Heartland Fort Madison Clinic Fort Madison |
State: | IA US |
Postal Code: | 526274048 |
Phone Number: | 3193721130 |
Fax Number: | 3193726040 |
NPI Enumeration Date: | 08/10/2011 |
NPI Last Update Date: | 08/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 33019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |